NPI: 1912378480 · SOUTH SIOUX CITY, NE 68776 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 697 | $0.00 |
| 2024 | 639 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 300 | 265 | $0.00 |
| 1160F | 106 | 102 | $0.00 | |
| 1159F | 106 | 102 | $0.00 | |
| 3078F | 57 | 56 | $0.00 | |
| 4274F | 13 | 13 | $0.00 | |
| 2001F | 129 | 125 | $0.00 | |
| 1036F | 51 | 49 | $0.00 | |
| 3008F | 130 | 125 | $0.00 | |
| 2010F | 135 | 131 | $0.00 | |
| 99213 | 114 | 107 | $0.00 | |
| 2000F | 96 | 92 | $0.00 | |
| 99214 | 26 | 25 | $0.00 | |
| 3074F | 61 | 60 | $0.00 | |
| 3351F | 12 | 12 | $0.00 |